When theory abandons us – wading through the 'swampy lowlands' of practice

This paper uses three clinical examples to illustrate the experience of feeling abandoned by theory – times when no one model has sufficient signposts to show the way. Therapy is considered to be an endlessly creative interpersonal encounter, to which the client brings the major resource for change. It is argued that the therapist is influenced by worldview, values and beliefs, and personal style, as well as by theoretical model. Further, it is suggested that there is a need to acknowledge and investigate the limitations of therapy. An argument is made for 'going beyond the model', for seeking an ethical practice based on what our clients tell us is important, and for sharing across models the common dilemmas and goals of therapy. Clinicians are encouraged to articulate their own 'swampy lowland' principles of practice.